Organization
NORTH SHORE MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN KEHOE PH.D. (DIRECTOR)
(808) 638-8700
Entity
Organization
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 638-8700
Mailing address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 638-8700
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
W20544464-01
HI
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
01/14/2021
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